Health Devices. 2000 Jul-Aug;29(7-8):274-80.
One of the most frightening events for any surgical staff member, and one of the most devastating events for any surgical patient, is a fire that occurs on or in the patient during a procedure. Surgical fires, as these are called, are fortunately very rare--but they do occur. ECRI has been investigating, reporting on, and teaching about surgical fires for nearly 30 years. Our experience has shown that most of these fires could have been avoided had the staff been adequately educated about the hazards. Educational videos are just one tool that hospitals can use to provide the fire-safety training that surgical staff require. In this Evaluation, we look at five videos covering fire safety in the operating room (OR). Our examination focuses on how well these videos address surgical fires in particular, since these can be the most devastating type of OR fire. We rate each video on how effectively it meets the fire-safety training needs of today's healthcare workers. The videos run the gamut from excellent to unsafe. We rate one Preferred because it contains particularly detailed information, and we rate another Acceptable because it provides good information overall. Two other videos are Not Recommended--the information in one of them, while good, is incomplete, and the other focuses too broadly on OR fires, with not enough emphasis on surgical fires. The fifth video provides two dangerous recommendations and is therefore Unacceptable.
对于任何外科医护人员来说,最可怕的事件之一,也是任何外科患者最具毁灭性的事件之一,就是手术过程中患者身上或体内发生火灾。这种所谓的手术火灾,幸运的是非常罕见——但确实会发生。近30年来,ECRI一直在调查、报道并讲授手术火灾相关知识。我们的经验表明,如果工作人员接受过充分的火灾危害教育,大多数这类火灾是可以避免的。教育视频只是医院可以用来提供外科医护人员所需的消防安全培训的一种工具。在本评估中,我们查看了五部关于手术室消防安全的视频。我们的审查特别关注这些视频对手术火灾的处理情况,因为手术火灾可能是手术室火灾中最具毁灭性的类型。我们根据每部视频满足当今医护人员消防安全培训需求的有效性对其进行评分。这些视频的质量参差不齐,从优秀到不安全都有。我们将一部视频评为“推荐”,因为它包含特别详细的信息,另一部评为“可接受”,因为它总体上提供了很好的信息。另外两部视频“不推荐”——其中一部的信息虽然不错,但不完整,另一部过于宽泛地关注手术室火灾,对手术火灾的强调不足。第五部视频提供了两条危险建议,因此“不可接受”。